Billing & Credentialing Cranberry Twp. (Pittsburgh)
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  • Posts tagged "medical credentialing" (Page 3)

Posts tagged "medical credentialing"

The Importance of Credentialing and Contracting

February 21, 2023 / admin / Articles, Contracting, Credentialing, Credentialing and Contracting, Medical Credentialing, Payer Contract, Payer Contracting, Payer Enrollment, Payer Negotiation, Payer Rejection
White Female Credentialing Professional

Credentialing and contracting are essential components of healthcare operations. Credentialing is the process of verifying the qualifications and professional background of healthcare providers, while contracting involves establishing agreements between healthcare providers and payers to ensure payment for services rendered. These processes are crucial for ensuring that healthcare providers deliver high-quality services and receive fair compensation […]

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contracting, Credentialing, Credentialing and Contracting, Credentialing and Contracting Checklist, healthcare credentialing, medical credentialing, Payer Contract, Payer Contracting

Medical Credentialing: The Importance of Proper Verification and Accreditation

February 5, 2023 / admin / Articles, Credentialing, Credentialing Accreditation, Credentialing Accuracy, Credentialing Process, Credentialing Verification, Healthcare, Healthcare Credentialing, Medical Credentialing
White Female Credentialing Professional

The process of medical credentialing is crucial in ensuring the quality and safety of healthcare services. It involves verifying the credentials and qualifications of healthcare providers and evaluating their competency to provide medical services. We’ll examine the importance of proper medical credentialing and how it benefits both healthcare providers and patients. What is Medical Credentialing? […]

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Credentialing, Credentialing Accreditation, Credentialing Accuracy, credentialing process, Credentialing Verification, education verification, healthcare, healthcare credentialing, medical credentialing

Medical Credentialing: Understanding the Process and Its Importance

February 1, 2023 / admin / Articles, Credentialing, Credentialing On-Boarding, Healthcare, Healthcare Credentialing, HIPAA, HIPAA Compliant, Medical Credentialing
Medical Credentialing Woman

The Process and Importance of Medical Credentialing What is Medical Credentialing? Medical credentialing is a vital process for ensuring the quality of healthcare services. It involves verifying the education, training, and professional experience of healthcare providers to ensure that they meet the standards for practicing in their field. This process helps to ensure that patients […]

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Credentialing, healthcare, healthcare credentialing, Medical, medical credentialing, what is medical credentialing

The Importance of Small Business Insurance for Healthcare Providers

December 18, 2022 / admin / Articles, Healthcare, Healthcare Practice, Insurance, Insurance Coverage, Medical Insurance, Medical Practice, Small Business Insurance
medical-doctor-insurance-healthcare-billing

As a healthcare provider, your goal is to help people. However, this type of work is unsure at times. If a healthcare worker makes a misstep, they could harm a person’s health. Even if there hasn’t been any maltreatment or mistake on the part of the healthcare practitioner, disagreements can result when physicians’ and patients’ […]

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general liability, general liability insurance, health insurance, healthcare, healthcare practice, insurance, Medical, Medical Billing, medical credentialing, medical practice

Balancing Social Media and Patient Privacy in Healthcare

November 18, 2022 / admin / Credentialing, HIPAA, HIPAA Compliant, Medical Billing, Patient Privacy, PHI, Privacy, Safety Violations, Social Media
social-media-hipaa-compliant

Social Media and Patient Privacy in Healthcare A Few Use Cases Use Case #1: Use Case #2: Protected Health Information (PHI) Preserving privacy of patients’ protected health information (PHI) is one of the major concerns linked to social media in healthcare. Privacy and protection of such information are dealt with in federal law and overseen […]

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facebook healthcare, HIPAA, HIPAA Compliant, instagram healthcare, Internet HIPAA, Medical Billing, medical credentialing, patient privacy, PHI, privacy, safety violations, social media, social media healthcare, social media HIPAA, social media medical

Payer Enrollment Versus Credentialing, What’s the Difference?

November 6, 2022 / admin / Credentialing, Credentialing On-Boarding, Enrollment, Healthcare, Healthcare Credentialing, Payer Contracting, Payer Enrollment, Payer Negotiation
Payer Contracting White Female

Bringing new providers aboard is invigorating, yet a complex process with plenty of moving parts. If you’ve ever had the opportunity to hire a physician or mid-level professional, you know just how much work is involved. Payer enrollment is maybe one of the more essential, yet misunderstood pieces of the puzzle. No doubt, making your […]

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Credentialing, credentialing on-boarding, enrollment, healthcare, healthcare credentialing, medical credentialing, Payer Contract, Payer Contracting, Payer enrollment

6 Advantages of Outsourced Medical Billing

September 1, 2022 / admin / Articles, Billing, Billing Automation, Billing Revenue, Credentialing, Full Service Medical Billing, Healthcare, Healthcare Billing, Healthcare Credentialing, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Medical Credentialing, Outsource Medical Billing, Outsourced Medical Billing, Outsourcing Medical Billing

Medical Practice Management Challenges Solved by Outsourced Medical Billing Quality, Outsourced Medical Billing is the Answer The billing team at Capitol Healthcare practice had been reaching a high bar of excellence. But that bar was endangered when long-time staff members began to retire. “Some of the staff had been here for a long time, like […]

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Healthcare Billing, insurance, Medical Billing, Medical Billing Service, medical billing strategy, medical credentialing, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, Revenue Cycle Management, revenue cycle optimization

Common Revenue Cycle Management Mistakes and How to Avoid Them

September 17, 2021 / admin / A/R, A/R Recovery, Articles, Billing Revenue, Medical Billing, Medical Billing Companies, Revenue Cycle Management
Hospital Revenue Cycle Challenges

Common Revenue Cycle Management Mistakes Is Your Revenue Cycle Management in Top-Notch Condition? Let’s face it, we all make mistakes, even as veterans in revenue cycle management. Sometimes, though, our biggest mistakes are the ones right under our noses – the ones we simply don’t identify as mistakes because we’ve been making them for so […]

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healthcare, Healthcare Billing, healthcare rcm, Medical Billing, medical credentialing, rcm, rcm practices, rcm support, Revenue Cycle Management

Easier Medical Billing and Credentialing

March 24, 2021 / admin / Articles, Best Medical Billing Companies in USA, Best Medical Billing Company, Credentialing, Full Service Medical Billing, Healthcare, Healthcare Credentialing, HIPAA, HIPAA Compliant, Medical Billing, Medical Billing Companies, Medical Credentialing, Payer Enrollment, Payor Contracting
Medical Billing

Medical Billing and Credentialing Made Easy “There just has to be an easier way to perform our billing and credentialing.” Does any of this sound familiar? I’m tired of dealing with insurance companies! I got into healthcare because I wanted to focus on patients, not paperwork and red tape! I’d rather do without having to […]

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Charlotte Medical Billing, Cleveland Medical Billing, Detroit Medical Billing, HIPAA, Louisville Medical Billing, Medical Billing, medical credentialing, Miami Medical Billing, New Jersey Medical Billing, payor contracting, payor enrollment, Philadelphia Medical Billing, Phoenix Medical Billing, Tampa Bay Medical Billing, Tampa Medical Billing, Washington DC Medical Billing

Why Do Health Insurers Require Prior Authorization?

February 9, 2021 / admin / Articles, Healthcare, Medical Billing, Medical Credentialing, Medicare, Prior Authorization, Revenue Cycle Management, Utilization Management
Prior Authorization Medical Billing

Health Insurers and Prior Authorization Like sands through the hourglass, so are the days of prior authorization “This procedure will require prior authorization.” Words that no patient or healthcare provider wants to hear when they are ready to proceed with a doctor-approved procedure for a medical matter. However, it’s one of the utilization management tools […]

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health insurance, healthcare, healthcare providers, Medical Billing, medical credentialing, medical practice, prior authorization, utilization management

The Value of Medical Credentialing

November 2, 2020 / admin / Articles, Credentialing, Healthcare, Healthcare Credentialing, In-Network, Medical Credentialing, Medical Practice Credentialing, Medicare, Payer Enrollment, Payor Contracting

Medical Credentialing is Crucial for Healthcare Providers; Here’s Why Truth is, many patients know little more about their physician’s qualifications than what they see neatly hanging from their office wall. While they’re able to access in-depth background information about their auto mechanic, it’s when they are at their most vulnerable, entrusting their family’s health to […]

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Credentialing, healthcare credentialing, in-network, insurance companies, medical credentialing, medical provider credentialing, payor contracting, payor enrollment

Medical Billing: In-House Issues; Outsourced Solutions

January 10, 2020 / admin / Articles, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Outsource Medical Billing, Why Outsource Your Medical Billing
Medical Billing and Credentialing

Outsource Your Medical Billing to Avoid Issues Installing a cost-effective, effectual medical billing team is one of the biggest challenges for any healthcare provider. Whether you’re a behavioral health provider, genetic testing lab or a substance abuse facility, it isn’t easy to create, maintain and scale your own internal medical billing team. Below, some of […]

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HIPAA Compliant, inhouse billing, Medical Billing, medical coding, medical credentialing, Outsource Medical billing, outsourced billing, Pittsburgh Hospital Billing, Pittsburgh Medical Billing, Pittsburgh Medical Credentialing, substance abuse

Tips for Choosing the Right Medical Billing Company

September 20, 2019 / admin / Articles, Best Medical Billing Company, Healthcare, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Outsource Medical Billing, Revenue Cycle Management

Choose a Qualified Medical Billing Group Since there are a large number of companies offering medical billing services, it’s often difficult for a healthcare provider to choose the best-fit, third party billing group for their organization. Healthcare providers have to ask billing companies the right questions on systems and services rendered, thereby making it much […]

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Medical Billing, medical coding, medical credentialing, Pittsburgh Medical Billing, Pittsburgh Medical Credentialing, Revenue Cycle Management

What is Medical Billing? (w/ Powerpoint Download)

September 16, 2019 / admin / Articles, Healthcare, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Pittsburgh Medical Billing, What is Medical Billing?
White Female Medical Billing Outsourced

What is Medical Billing? Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services rendered by a healthcare provider. It involves coding and classification of diseases, procedures, and treatments and submission of claims to insurance companies for reimbursement. The goal of medical billing is […]

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Basics of Medical Billing, Medical Billing, medical billing powerpoint, medical billing ppt, Medical Billing Service, medical coding, medical credentialing, Pittsburgh Medical Billing

8 (Medical Credentialing) Details, which Differentiate Us from Our Competition

June 27, 2019 / admin / Articles, CAQH, Credentialing, In-Network, Medical Credentialing, Medical Practice Credentialing, Payer Enrollment, Payor Contracting
Credentialing Expert

Which Medical Credentialing Processes Distinguish Medwave from our Competitors? There are a number of points which separate us from our competition, both on the medical billing and credentialing side, but specifically for credentialing. Contact us today and we’ll efficiently credentialing your medical group, getting you in-network with both private and public payor / insurance companies. […]

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CAQH, Credentialing, in-network, insurance companies, medical credentialing, medical practice credentialing, payor contracting, payor enrollment

Medical Credentialing (On-Boarding Process)

September 25, 2018 / admin / Articles, Credentialing, Credentialing Applications, Credentialing New Providers, Credentialing On-Boarding, Credentialing Process, Credentialing Solutions, Healthcare Credentialing, Hospital Credentialing, In-Network, Medical Credentialing
Credentialing QA

Credentialing for healthcare providers, hospital groups and facilities is a tedious task that often requires a team of specialists to handle all the on-boarding information, as well as updates throughout the year. As of April, 2018, CMS now mandates that providers maintain accurate information and timely updates. Providers and facilities that do not keep up with […]

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aesculapian, CAQH, Credentialing, Credentialing Applications, Credentialing New Providers, credentialing on-boarding, credentialing process, Credentialing Solutions, DEA, healthcare credentialing, Hospital Credentialing, in-network, medical credentialing, NPPES, PECOS, Provider Credentialing

What’s the Difference Between (Medical Billing and Credentialing)?

August 7, 2017 / admin / Articles, Credentialing, Medical Billing, Payer Enrollment, Payor Contracting, Pittsburgh Credentialing
Medical Doctor Costs

Medical Billing and Credentialing Differences Medical billing and credentialing for medical providers are two different categories in the healthcare world. Before any medical billing can even be completed, the healthcare provider needs to be credentialed with insurance companies in order to be an approved provider of services. Becoming credentialed as an in-network provider dictates the […]

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Billing Versus Credentialing, Billing vs Credentialing, CAQH, Coalition for Affordable Quality Healthcare, CPT codes, Cranberry Medical Billing, Cranberry Medical Credentialing, ICD-10, Medical Billing, medical coding, medical credentialing, payor enrollment, physical therapy billing, Pittsburgh Medical Billing, Pittsburgh Medical Coding, Pittsburgh Medical Credentialing, Pittsburgh PT Billing, PT Billing

Medical Provider Resources

July 26, 2017 / admin / Articles, Credentialing, Medical Billing, Medical Coding, Medicare
Doctor and Medical Biller

Medical Provider Resources Information for medical providers, including links to NPI, CAQH and ICD-10 resources. Medicare:  https://www.novitas-solutions.com NPI Registry portal:  https://npiregistry.cms.hhs.gov CAQH provider portal: https://www.caqh.org Free ICD-10 lookup tool:  https://www.icd10data.com Navinet Provider portal:  https://navinet.navimedix.com 2017-2018 CDC Flu Vaccine Information:  https://www.cdc.gov/flu/about/season/flu-season.htm Follow my blog with Bloglovin

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CAQH, Coalition for Affordable Quality Healthcare, Cranberry Medical Billing, Cranberry Medical Credentialing, ICD-10, ICD-10 lookup, Medical Billing, medical coding, medical credentialing, medical provider resources, NPI, Pittsburgh Medical Billing, Pittsburgh Medical Coding, Pittsburgh Medical Credentialing, provider resources
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  • Medical Credentialing Staff at a Hospital

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  • Older Female Doctor in need of Credentialing

    Credentialing Problems? We Can Fix Them!

  • Medical Credentialing State-by-State

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  • Telehealth Provider

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Practices Served

  • Behavioral Health
  • Genetic Testing
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • COVID-19 Testing
  • Allergy Testing
  • Skilled Nursing Facilities
  • Urgent Care
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Speech Therapy
  • Substance Abuse
  • DME
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy

Practices Served

  • Behavioral Health
  • Genetic Testing
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • COVID-19 Testing
  • Allergy Testing
  • Skilled Nursing Facilities
  • Urgent Care
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Speech Therapy
  • Substance Abuse
  • DME
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy

Recent Posts

  • Laboratory Billing

    Which CPT Codes are Used in Laboratory Billing?

  • Medical Credentialing Staff at a Hospital

    25 Stats Medical Credentialers Must Know

  • Older Female Doctor in need of Credentialing

    Credentialing Problems? We Can Fix Them!

  • Medical Credentialing State-by-State

    Multi-State Licensing in Provider Credentialing

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